title: The African Development Bank, structural adjustment, and child mortality: a cross-national analysis of Sub-Saharan Africa.
abstract: We conduct a cross-national analysis to test the hypothesis that African Development Bank (AfDB) structural adjustment adversely impacts child mortality in Sub-Saharan Africa. We use generalized least square random effects regression models and two-step Heckman models that correct for selection bias using data on 35 nations with up to four time points (1990, 1995, 2000, and 2005). We find substantial support for our hypothesis, which indicates that Sub-Saharan African nations that receive an AfDB structural adjustment loan tend to have higher levels of child mortality than Sub-Saharan African nations that do not receive such a loan. This finding remains stable even when controlling for selection bias on whether or not a Sub-Saharan African nation receives an AfDB structural adjustment loan. We conclude by discussing the methodological implications of the article, policy suggestions, and possible directions for future research.
authors.affiliation: Department of Sociology, State University of New York at Stony Brook, Stony Brook, NY, USA.
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Pandolfelli
authors.forename: John M
authors.initials: JM
authors.lastname: Shandra
mesh_terms: D017954:Africa South of the Sahara / Q000453:epidemiology; D002648:Child; D046688:Child Mortality; D003709:Democracy; D003906:Developing Countries / Q000191:economics* / Q000706:statistics & numerical data*; D002149:Energy Intake; D059066:Gross Domestic Product; D006801:Humans; D007390:International Agencies / Q000191:economics / Q000458:organization & administration*; D011634:Public Health / Q000706:statistics & numerical data; D012959:Socioeconomic Factors